Individual
KEVIN JOSEPH BOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6754 380TH CIR, NORTH BRANCH, MN 55056-5941
(651) 983-8954
Mailing address
PO BOX 262, NORTH BRANCH, MN 55056-0262
(651) 983-8954
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3643
MN
Other
Enumeration date
03/17/2007
Last updated
07/14/2009
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